| NPI | 1144323924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ERWIN GRASK President 515-243-6311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: IA 6917) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2020-08-22 |